Inspection Reports for Sage Glendale

525 W Elk Ave, Glendale, CA 91204, United States, CA, 91204

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Inspection Report Complaint Investigation Census: 78 Capacity: 113 Deficiencies: 1 Jul 18, 2025
Visit Reason
The visit was an initial complaint investigation triggered by complaint #31-AS-20250714121426 regarding staff presence without criminal background clearance and association to the facility.
Findings
The investigation found two staff members (S1 and S2) present without proper criminal background clearance and association to the facility. Staff S1 was not returning to the facility, while S2 was cleared and associated during the visit. A citation and civil penalty were issued.
Complaint Details
Complaint investigation was initiated based on complaint #31-AS-20250714121426. The complaint was substantiated by the finding that staff were present without criminal background clearance and association to the facility.
Severity Breakdown
Type A: 1
Deficiencies (1)
DescriptionSeverity
All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working in a licensed facility request a transfer of a criminal record clearance as specified in Section 87355(c). This requirement is not met as evidenced by staff S1 and S2 not having criminal background clearance and association to this facility.Type A
Report Facts
Census: 78 Total Capacity: 113 Deficiencies cited: 1
Employees Mentioned
NameTitleContext
Michelle L. ConnotEntrim Executive Director of sister community in NebraskaStaff S1 found present without criminal background clearance and association
Dawn Irene MonahanStaff S2 found initially without clearance but cleared during visit
Syrina CanezMemory Care DirectorFacility representative who received copy of report
Antonia Alvizar-EttimaLicensing Program AnalystConducted complaint investigation and authored report
Naira MargaryanLicensing Program ManagerNamed in report header and deficiency section
Inspection Report Annual Inspection Census: 75 Capacity: 113 Deficiencies: 0 Mar 25, 2025
Visit Reason
The visit was an unannounced case management Annual Continuation inspection conducted to complete the required 1-year inspection initiated on 2025-02-10.
Findings
The Licensing Program Analyst toured the facility to ensure no health and safety hazards were present, reviewed seven resident records and five staff files, all of which were complete and compliant at the time of the visit. Several active COVID-19 cases were noted in the facility.
Report Facts
Residents' records reviewed: 7 Staff files reviewed: 5
Employees Mentioned
NameTitleContext
Peter BonillaExecutive DirectorMet during inspection and discussed visit purpose
Antonia Alvizar-EttimaLicensing Program AnalystConducted the inspection visit
Inspection Report Census: 81 Capacity: 113 Deficiencies: 0 Feb 10, 2025
Visit Reason
The case management visit was conducted to ensure the safety and welfare of evacuees from the RCFE-Continuing Care Retirement Community Montecedro due to the Eaton Fire.
Findings
No immediate health or safety hazards were observed during the visit. Interviews with four out of five evacuee residents indicated they are doing well and that Sage Glendale is meeting their needs while Montecedro is providing the service.
Employees Mentioned
NameTitleContext
Peter BonillaExecutive DirectorMet with Licensing Program Analyst during the visit.
Antonia Alvizar-EttimaLicensing Program AnalystConducted the unannounced case management visit.
Naira MargaryanLicensing Program ManagerNamed as Licensing Program Manager on the report.
Inspection Report Annual Inspection Census: 81 Capacity: 113 Deficiencies: 0 Feb 10, 2025
Visit Reason
An unannounced required one-year inspection visit was conducted to evaluate compliance with Title 22 regulations and ensure health and safety standards at the facility.
Findings
The facility was found to be in good repair with no health and safety hazards noted. Physical plant areas, kitchen, dining, medication storage, resident bedrooms, bathrooms, common areas, and surrounding grounds were all observed to be clean, functional, and compliant. Fire safety equipment was current and functional. The inspection was not fully completed due to time constraints and will be continued later.
Report Facts
Fire extinguisher last inspection date: Apr 25, 2024 Fire drill last conducted: Jan 8, 2025 Residents interviewed: 8 Hot water temperature range (Fahrenheit): 106.3-119.3 Perishable food supply duration (days): 2 Non-perishable food supply duration (days): 7
Employees Mentioned
NameTitleContext
Antonia Alvizar-EttimaLicensing Program AnalystConducted the inspection and met with Executive Director
Peter BonillaExecutive DirectorMet with Licensing Program Analyst during inspection
Naira MargaryanLicensing Program ManagerNamed in report header and signature section
Inspection Report Annual Inspection Census: 69 Capacity: 113 Deficiencies: 0 Jul 3, 2024
Visit Reason
An unannounced 1 year required inspection visit was conducted to evaluate compliance with licensing regulations for the Sage Glendale Senior Living Facility.
Findings
The facility was found to be operating within capacity limits with no health and safety issues noted. Fire safety equipment was operational and up to date, resident rooms were properly furnished, and medication storage was secure. Passageways were free of obstructions and environmental conditions met regulatory standards.
Report Facts
Capacity: 113 Census: 69 First aid kits: 8 Fire extinguisher service date: 2024
Employees Mentioned
NameTitleContext
Angela SmithAdministratorMet with Licensing Program Analyst during inspection
Rosaura ValenzuelaLicensing Program AnalystConducted the inspection visit
Naira MargaryanLicensing Program ManagerNamed in report as Licensing Program Manager
Inspection Report Complaint Investigation Census: 60 Capacity: 113 Deficiencies: 0 Apr 26, 2024
Visit Reason
An unannounced complaint investigation was conducted to investigate an allegation that the facility took payment but did not admit a resident.
Findings
The investigation found that the resident's family member paid over $9,000 for admission but decided not to move the resident to the facility. The allegation was deemed unsubstantiated as the facility was about to refund the payment, but the refund was not issued due to a bounced check.
Complaint Details
The complaint alleged that the facility took payment but did not admit the resident. The allegation was found unsubstantiated after investigation.
Report Facts
Payment amount: 9250 Capacity: 113 Census: 60
Employees Mentioned
NameTitleContext
Jose Gary TanLicensing Program AnalystConducted the complaint investigation
Angela Monette-SmithExecutive DirectorMet with Licensing Program Analyst during investigation
Troy AgardLicensing Program ManagerNamed as Licensing Program Manager on report
Inspection Report Follow-Up Census: 63 Capacity: 113 Deficiencies: 0 Apr 8, 2024
Visit Reason
An unannounced Case Management Incident visit was conducted to follow-up on an incident report submitted regarding Resident #1 who allegedly overdosed on prescribed medication.
Findings
The investigation revealed that Resident #1 is still hospitalized and awaiting discharge orders. Records showed the resident is depressed and approved to self-administer medication. Hospital blood work was unremarkable and it appears the resident did not ingest the reported medication. No health and safety issues were noted.
Complaint Details
The visit was triggered by a complaint incident report submitted on 04/04/2024 regarding an alleged medication overdose by Resident #1. The report was unsubstantiated as the resident did not ingest the medication.
Report Facts
Facility capacity: 113 Census: 63
Employees Mentioned
NameTitleContext
Mary Lou DominguezLVNMet with Licensing Program Analyst during inspection and provided information about Resident #1
Rosaura ValenzuelaLicensing Program AnalystConducted the unannounced Case Management Incident visit
Naira MargaryanLicensing Program ManagerNamed in the exit interview section of the report
Inspection Report Complaint Investigation Census: 55 Capacity: 113 Deficiencies: 0 Feb 22, 2023
Visit Reason
The inspection was conducted as a complaint investigation following a complaint received on 2023-01-17 alleging that staff did not prevent a resident from being sexually abused while in care.
Findings
The investigation included interviews with staff, residents, and witnesses, as well as a review of records and observations. No preponderance of evidence was found to substantiate the allegation of sexual abuse, and the allegation was determined to be unsubstantiated.
Complaint Details
The complaint alleged that a resident was touched inappropriately by a male staff member. Interviews with staff, residents, and witnesses did not confirm the allegation. The resident involved denied any abuse. The allegation was unsubstantiated due to lack of sufficient evidence.
Report Facts
Staff interviewed: 7 Staff unavailable for interview: 2 Witnesses interviewed: 2 Residents interviewed: 5 Residents unavailable for interview: 1
Employees Mentioned
NameTitleContext
Troy AgardLicensing Program AnalystConducted the complaint investigation and authored the report.
Angela SmithMet with the Licensing Program Analyst during the investigation.
Angela J KendrickLicensing Program ManagerNamed as Licensing Program Manager on the report.
Inspection Report Complaint Investigation Census: 53 Capacity: 113 Deficiencies: 0 Feb 13, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit conducted to investigate multiple allegations received on 2022-05-26 regarding resident care issues including emergency buttons not working, unwitnessed falls, residents left unattended, insufficient food, non-functioning motion detectors, staffing shortages, and staff neglect.
Findings
The investigation included interviews with staff and residents, observations, and record reviews. All allegations were found to be unsubstantiated due to lack of preponderance of evidence to prove the alleged violations did or did not occur.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included emergency buttons not working, unwitnessed falls, residents left unattended, insufficient food, motion detectors not working, inadequate staffing, and staff neglect. Interviews with 6 staff and 5 residents, observations, and record reviews did not corroborate the allegations. No incident reports or evidence supported the claims.
Report Facts
Staff interviewed: 6 Residents interviewed: 5 Memory care unit residents: 17 Caregiving staff: 3 Med tech staff: 1 Caregiving staff observed: 4 Med tech staff observed: 1
Employees Mentioned
NameTitleContext
Jose VillalobosLicensing Program AnalystConducted the complaint investigation visit
Fernando FierrosLicensing Program ManagerNamed as Licensing Program Manager overseeing the investigation
Angela Monette-SmithAdministratorMet with Licensing Program Analyst during the investigation
Inspection Report Annual Inspection Census: 35 Capacity: 113 Deficiencies: 1 Mar 15, 2022
Visit Reason
The inspection was an unannounced required 1-year visit focusing on COVID-19 Infection Control Practices at Sage Glendale Senior Living Facility.
Findings
The inspection found that COVID-19 signage and infection control measures were generally in place, but water temperature in the first floor restrooms was below the required range, posing an immediate health and safety risk. Deficiencies were cited related to water temperature regulation.
Severity Breakdown
Type A: 1
Deficiencies (1)
DescriptionSeverity
Water temperature in the 1st floor restroom sinks measured 74 degrees F, which is below the required minimum of 105 degrees F, posing an immediate health, safety, or personal rights risk to persons in care.Type A
Report Facts
Deficiency due date: Mar 25, 2022 Census: 35 Total Capacity: 113
Employees Mentioned
NameTitleContext
Elizabeth WhittingtonAdministratorAdministrator present during inspection and exit interview
Alberto LopezLicensing Program AnalystConducted the inspection
Christine YeeLicensing Program ManagerSupervisor overseeing the inspection
Inspection Report Original Licensing Capacity: 113 Deficiencies: 0 Mar 4, 2021
Visit Reason
The inspection was conducted as a pre-licensing visit for initial licensing of a Residential Care Facility for the Elderly.
Findings
The facility was found to be clean, sanitary, and in good repair with no observed items of noncompliance with applicable laws and regulations. Safety features such as fire extinguishers, smoke detectors, and carbon monoxide detectors were operational, and emergency plans and supplies were in place.
Report Facts
Capacity: 113 Census: 0 Hospice waiver: 2 Non-ambulatory residents: 113 Bedridden residents: 9
Employees Mentioned
NameTitleContext
Elizabeth WhittingtonExecutive DirectorMet with during inspection
Kruz LongLicensing Program AnalystConducted the pre-licensing inspection
Fernando FierrosLicensing Program ManagerNamed in report header
Inspection Report Original Licensing Capacity: 113 Deficiencies: 0 Dec 14, 2020
Visit Reason
Initial licensing evaluation visit for a Residential Care Facility for the Elderly with delayed egress application type.
Findings
The applicant and administrator participated in a comprehensive licensing interview (COMP II) confirming understanding of Title 22 regulations, facility operation, staff qualifications, program policies, and application document requirements. The evaluation was successfully completed with no deficiencies noted.
Employees Mentioned
NameTitleContext
Martha BerardAdministratorApplicant and administrator who participated in the licensing evaluation and COMP II call.
Jude De La ConcepcionLicensing Program ManagerNamed as Licensing Program Manager overseeing the evaluation.
Bethany HunterLicensing Program AnalystConducted the COMP II call and signed the evaluation report.

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